Active NPI
Aida Camanguian, AGACNP-BC
- Gerontology Nurse Practitioner
- Morganton, NC
National Provider Identifier
1134616618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5010479
- Practice address
- 300 Enola Rd
Morganton, NC 28655-4608 - Phone
- (828) 608-6000
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5010479 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 5010479 | NC | Primary |
Addresses
Primary practice location
300 Enola Rd
Morganton, NC 28655-4608
Mailing address
300 Enola Rd
Morganton, NC 28655-4608
Phone (828) 608-6000
Other practice location 1
730 Malcolm Blvd Ste 200
Connelly Springs, NC 28612-8079
Phone (828) 580-7048
Other practice location 2
107 Mica Ave Ste B
Morganton, NC 28655-8135
Phone (828) 437-7702
Other practice location 3
932 Old US 70 W
Black Mountain, NC 28711-2547
Phone (828) 259-6700 ext. 6913
Other practice location 4
2209 S Sterling St Ste 200
Morganton, NC 28655
Phone (828) 580-6752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250818004414 | NC | Order and Referring Only - Nurse Practitioner | 7719232511 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5010479 | NC | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1134616618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ENOLA RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554608",
"telephone_number": "828-608-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ENOLA RD",
"city": "MORGANTON",
"state": "NC",
"postal_code": "286554608",
"telephone_number": "828-608-6000"
}
],
"practiceLocations": [
{
"address_1": "730 Malcolm Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Connelly Springs",
"state": "NC",
"postal_code": "286128079",
"country_code": "US",
"telephone_number": "828-580-7048",
"fax_number": "828-580-3985",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "107 Mica Ave Ste B",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "286558135",
"country_code": "US",
"telephone_number": "828-437-7702",
"fax_number": "828-437-7041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "932 Old US 70 W",
"address_purpose": "LOCATION",
"city": "Black Mountain",
"state": "NC",
"postal_code": "287112547",
"country_code": "US",
"telephone_number": "828-259-6700 x6913",
"fax_number": "828-669-3229",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2209 S Sterling St Ste 200",
"address_purpose": "LOCATION",
"city": "Morganton",
"state": "NC",
"postal_code": "28655",
"country_code": "US",
"telephone_number": "828-580-6752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMANGUIAN",
"first_name": "AIDA",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5010479",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5010479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morganton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.